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Description
Unfortu- nately, this management strategy was not available to us as the hydroxycobalamin preparation is not available in the United States

Changhan David Lee and Pinchas Cohen at the USC Leonard Davis School of Gerontology published the first description of MOTS-c in 2015

Although metformin may reduce vitamin B12 absorption, deficiency is often preventable through early recognition and appropriate management

I chalked it up to age, stress, or just general burnout
